What is it?

Persistent postural perceptual dizziness (PPPD) refers to a condition which is characterized by non-spinning dizziness and imbalance triggered by environmental or social factors. PPPD may also be triggered after an acute event that caused dizziness and vertigo such as BPPV, vestibular neuritis, stroke, Meniere’s disease, vestibular migraine, panic attack, concussion or a disease of the autonomous nervous system. It is a common diagnosis in people aged 30-50.

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Signs & symptoms

Symptoms may include dizziness, unsteadiness, or non-spinning vertigo present for most of the days for three months or more. The dizziness may get worse with upriht posture, movement and looking at moving objects.


Diagnosis is based upon findings from medical history and physical examination. Further evaluation may be done to rule out other explanations.


Treatment includes vestibular rehabilitation therapy, medications such as SSRI’s and SNRI’s, and coginitive behavioral therpay.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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Frequently asked questions
Can persistent postural perceptual dizziness improve over time?
How does persistent postural perceptual dizziness affect daily life?
Can lifestyle modifications help in managing persistent postural perceptual dizziness?

☝ The content of this answer is based solely on historical posts and comments generated by users on Alike. This tool is not a substitute for professional medical advice, and you should always consult with your physicians before making any changes to your medical care or treatment plan.

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